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What is an 837 file?

What Is an 837 File? EDI Claims Explained (With Example)

An 837 file is the electronic claim (X12 EDI) providers send to payers. 837P vs 837I, how to read one, and a worked example.

What is electronic remittance advice (ERA)?

Electronic Remittance Advice (ERA): How to Read an 835

An electronic remittance advice (ERA) is the electronic file a health plan sends to explain how it processed your claims. Its standard format is the HIPAA 835, which is why ERA and 835 file get used interchangeably. CMS defines it as an explanation from a health plan to a provider about a claim payment. After […]

CPT code 21432: Open treatment of craniofacial separation (LeFort III)

CPT Code 21432

CPT code 21432 describes the open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation. That is the descriptor published by the American Medical Association’s CPT Editorial Panel in the AMA CPT code set. Two elements of it carry the whole code. The injury must be a LeFort III craniofacial separation, and […]

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